DR. PALLAVI P. PATWARI (NPI# 1376606491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376606491 |
| Entity Type | Individual |
| Full Name | DR. PALLAVI P. PATWARI |
| Other Name | PALLAVI P PRASAD |
| Credential | MD |
| Practice Address |
1620 W Harrison St Suite 7 Kellogg Chicago IL 60612-3801 |
| Practice Telephone | 3129425046 |
| Practice Fax Number | 3129422243 |
| Mailing Telephone | 3129425046 |
| Mailing Fax Number | 3129422243 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2017-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
036107900 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1620 W HARRISON ST SUITE 7 KELLOGG |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574274 | Yejide Awolola | Registered Nurse | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-10-07 |
| 1922614635 | Gregory Martin Kasson | Nurse Anesthetist, Certified Registered | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-09-17 |
| 1124639398 | Rocio Naomi Bautista Sanchez | Internal Medicine | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-08-12 |
| 1912516667 | Raymond Vincent Garay | Nurse Practitioner | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-07-29 |
| 1407473218 | Milan Patel | Podiatrist | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-26 |
| 1326664491 | Cameron Calloway | Psychiatry & Neurology | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-24 |
| 1750907044 | Kirk Lydell Mccall II | Psychiatry & Neurology | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-22 |
| 1912523655 | Nikitaa Nath | Internal Medicine | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-18 |
| 1306461355 | Ashwin N Reddi | Psychiatry & Neurology | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-15 |
| 1821613084 | Sonia Sethi | Internal Medicine | 1620 W Harrison St, Chicago, IL 60612-3801 | 2020-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982150702 | Kayla Duvall | Pediatrics | 5841 S Maryland Ave # 1145, Chicago, IL 60637-1443 | 2016-08-31 |
| 1215304258 | Huda Adam | Pediatrics | 5706 S Blackstone Ave, Unit 1, Chicago, IL 60637-1824 | 2015-08-25 |
| 1699916932 | Deanna Marie Behrens | Pediatrics | 840 S. Wood, Department of Pediatrics, Uic, Chicago, IL 60612 | 2009-03-17 |
| 1326207663 | Lauren Elizabeth Marsillio | Pediatrics | 225 E Chicago Ave # 15-119d, Chicago, IL 60611-2991 | 2008-06-02 |
| 1972665974 | Denise M. Goodman | Pediatrics | 2300 N Childrens Plz # 73, Chicago, IL 60614-3363 | 2006-12-15 |
| 1407897887 | Rachel K Wolfson | Pediatrics | 5839 S Maryland Ave, Mc 4064, Chicago, IL 60637-1463 | 2006-06-09 |
| 1437513918 | Allison Patten | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2016-04-11 |
| 1316301351 | Joan Nicole Buen | Pediatrics | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2016-04-06 |
| 1871956714 | Stephanie Lam | Pediatrics | 5841 S Maryland Ave # Mc1145, Chicago, IL 60637-1443 | 2016-03-29 |
| 1740609270 | Andrew Wolf | Pediatrics | 1653 W Congress Pkwy, Suite 761 Jones Building Rush University Medical Center, Chicago, IL 60612-3833 | 2014-04-13 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.